Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian R Jackson, MD

Individual provider Clinical Pathology/Laboratory Medicine Physician · NPI 1255421855

Brian R Jackson, MD is a Pathology in Baltimore, Maryland. Graduated from University of Utah School of Medicine in 1996, 30 years ago. Practices with Univ of MD Pathology Associates P A, a 24-clinician group and accepts Medicare assignment. Licensed in Maryland and Utah.

Years since qualifying
30
Trained at
University of Utah School of Medicine
Licensed in
MD, UT
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

22 S Greene St
Baltimore, MD 21201-1590
Phone: (410) 328-5509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Pathology/Laboratory Medicine Physician (primary) Taxonomy 207ZP0105X · Licence D0104213 (MD)
Clinical Pathology/Laboratory Medicine Physician Taxonomy 207ZP0105X · Licence 5247478-1205 (UT)

Record details

NPI number1255421855
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 13, 2006
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Univ Of Md Pathology Associates P A — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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